Computed tomography of hepatic venous hypertension: the reticulated-mosaic pattern.
A reticulated-mosaic pattern of the liver was identified on contrast-enhanced computed tomography in 4 of 20 patients with constrictive pericarditis or congestive heart failure. Reflux of contrast into a distended inferior vena cava and the hepatic veins was identified in 3 of the 4 patients. This abnormal enhancement pattern combined with hepatic venous or caval reflux of contrast indicates the presence of hepatic venous hypertension, and should not be mistaken for other abnormalities that may result in inhomogeneous hepatic enhancement.
Mauro
M A
MA
Department of Radiology, University of North Carolina School of Medicine, Chapel Hill 27514.
Stackhouse
D J
DJ
Parker
L A
LA
Schiebler
M L
ML
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006333:Heart Failure / Q000150:complications*; D006503:Hepatic Veins / Q000000981:diagnostic imaging*; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging; D008107:Liver Diseases / Q000000981:diagnostic imaging* / Q000209:etiology; D008297:Male; D008875:Middle Aged; D010494:Pericarditis, Constrictive / Q000150:complications; D014057:Tomography, X-Ray Computed; D014690:Venous Pressure